In Wisconsin, the Monthly Income Limit (MIL) for Medicaid eligibility is determined by the federal government and is adjusted annually. To qualify for Medicaid, an individual’s monthly income must be below a certain amount. The MIL varies depending on the type of Medicaid program and the applicant’s circumstances. For example, pregnant women and children have higher MILs than adults without dependents. The MIL also varies depending on whether the applicant is applying for full Medicaid benefits or a limited benefit program, such as Medicaid expansion. To determine if you qualify for Medicaid in Wisconsin, you should contact the Wisconsin Department of Health Services or visit their website for more information.
Income Eligibility for Medicaid in Wisconsin
To qualify for Medicaid in Wisconsin, individuals must meet certain income requirements. Generally, the income limit for Medicaid is 138% of the Federal Poverty Level (FPL). However, there are different income limits for different types of Medicaid coverage and for different groups of people. In some cases, individuals with incomes above 138% of the FPL may be eligible for Medicaid.
Income Limits for Different Medicaid Programs in Wisconsin
- BadgerCare Plus Core: 138% of FPL for adults, 185% of FPL for children, and 100% of FPL for pregnant women.
- BadgerCare Plus for Families: 200% of FPL for parents and caretaker relatives.
- BadgerCare Plus SeniorCare: 138% of FPL for adults aged 65 and older.
- BadgerCare Plus Disability: 138% of FPL for adults with disabilities.
- BadgerCare Plus Medicaid Buy-In: Allows individuals with incomes up to 400% of FPL to buy into Medicaid.
Important Note: The income limits listed above are for the year 2023 and may change in the future. Always check with the Wisconsin Department of Health Services (DHS) for the most up-to-date information on income limits and eligibility requirements.
Additional Information
- Income limits are based on the modified adjusted gross income (MAGI) used for federal income taxes.
- MAGI includes income from wages, self-employment, interest, dividends, pensions, and Social Security benefits.
- MAGI does not include income from Supplemental Security Income (SSI), food stamps, or the Earned Income Tax Credit (EITC).
- Individuals who are eligible for Medicaid based on their income may also be eligible for other benefits, such as food stamps and housing assistance.
| Medicaid Program | Income Limit |
|---|---|
| BadgerCare Plus Core (adults) | 138% of FPL |
| BadgerCare Plus Core (children) | 185% of FPL |
| BadgerCare Plus Core (pregnant women) | 100% of FPL |
| BadgerCare Plus for Families (parents and caretaker relatives) | 200% of FPL |
| BadgerCare Plus SeniorCare (adults aged 65 and older) | 138% of FPL |
| BadgerCare Plus Disability (adults with disabilities) | 138% of FPL |
| BadgerCare Plus Medicaid Buy-In | Up to 400% of FPL |
Medicaid Income Limits in Wisconsin
Medicaid is a health insurance program that provides coverage for low-income individuals and families. In Wisconsin, the income limits for Medicaid vary depending on the type of coverage you are applying for. The following are the income limits for different types of Medicaid coverage in Wisconsin:
Medicaid for Pregnant Women and Children
- Pregnant women: Up to 200% of the federal poverty level (FPL)
- Children under 19: Up to 138% of the FPL
Medicaid for Adults
- Parents and caretaker relatives: Up to 138% of the FPL
- Disabled adults: Up to 100% of the FPL
- Adults aged 19-64 who are not pregnant, disabled, or parents: Not eligible for Medicaid
Medicaid for Long-Term Care
- Individuals who need nursing home care or home health care services: Up to 150% of the FPL for assets and up to 300% of the FPL for income
Please note that these are just the income limits. There are other factors that may affect your eligibility for Medicaid, such as your age, immigration status, and residency. If you are unsure if you are eligible for Medicaid, you can contact your local Medicaid office or visit the Wisconsin Department of Health Services website.
| Type of Coverage | Income Limit |
|---|---|
| Pregnant women | Up to 200% of the FPL |
| Children under 19 | Up to 138% of the FPL |
| Parents and caretaker relatives | Up to 138% of the FPL |
| Disabled adults | Up to 100% of the FPL |
| Adults aged 19-64 who are not pregnant, disabled, or parents | Not eligible for Medicaid |
| Individuals who need nursing home care or home health care services | Up to 150% of the FPL for assets and up to 300% of the FPL for income |
What is Medicaid, and How Can I Apply?
Medicaid is a health insurance program jointly funded by the federal and state governments. It provides health coverage to low-income individuals and families, as well as to certain disabled and elderly individuals. The qualifications and benefits of Medicaid vary from state to state. In Wisconsin, Medicaid is called BadgerCare.
How to Apply for Medicaid in Wisconsin
There are two ways to apply for Medicaid in Wisconsin:
- Apply online: You can apply for Medicaid online through the Wisconsin Department of Health Services (DHS) website.
- Apply by mail: You can also apply for Medicaid by mail by downloading the Medicaid application form from the DHS website and mailing it to the address provided on the form.
Once you have applied for Medicaid, the DHS will review your application and determine if you are eligible. If you are eligible, you will receive a Medicaid card in the mail.
Monthly Income Limit for Medicaid in Wisconsin
The monthly income limit for Medicaid in Wisconsin varies depending on your household size and whether you are applying for BadgerCare Plus or BadgerCare Basic.
BadgerCare Plus Income Limits
| Household Size | Monthly Income Limit |
| 1 | $1,874 |
| 2 | $2,506 |
| 3 | $3,137 |
| 4 | $3,769 |
| 5 | $4,400 |
| 6 | $5,031 |
| 7 | $5,663 |
| 8 | $6,294 |
BadgerCare Basic Income Limits
| Household Size | Monthly Income Limit |
| 1 | $1,080 |
| 2 | $1,447 |
| 3 | $1,814 |
| 4 | $2,181 |
| 5 | $2,548 |
| 6 | $2,915 |
| 7 | $3,282 |
| 8 | $3,649 |
Note: These income limits are subject to change each year. For the most up-to-date information, please visit the DHS website.
Other Eligibility Requirements for Medicaid in Wisconsin
In addition to the monthly income limit, there are other eligibility requirements for Medicaid in Wisconsin. You must be a Wisconsin resident, a U.S. citizen or a qualified non-citizen, and meet certain income and asset requirements. For more information on eligibility requirements, please visit the DHS website.
Monthly Income Limit for Medicaid in Wisconsin
Medicaid in Wisconsin has strict income guidelines to qualify for benefits. Here are the income limits for 2023:
| Category | Monthly Income Limit |
|---|---|
| Individuals | $1,685 |
| Couples | $2,258 |
| Families of 3 | $2,831 |
| Families of 4 | $3,404 |
| For each additional family member, add | $573 |
NOTE: These income limits are subject to change each year. Please visit the Wisconsin Department of Health Services website for the most up-to-date information.
Other Programs That Can Help with Medical Costs
- BadgerCare Plus: BadgerCare Plus is a health insurance program for low-income individuals and families who do not qualify for Medicaid. Click here to learn more.
- Medicare Savings Programs: Medicare Savings Programs are a group of programs that can help pay for Medicare costs, including premiums, deductibles, and copays. There are three programs: Qualified Medicare Beneficiary (QMB), Specified Low-Income Medicare Beneficiary (SLMB), and Qualified Disabled and Working Individuals (QDWI). Click here to learn more.
- Medicare Extra Help: Medicare Extra Help is a program that can help pay for Medicare Part D prescription drug costs. Click here to learn more.
- Patient Assistance Programs: Patient Assistance Programs are offered by drug manufacturers to help people pay for their medications. There are many different programs available, and each program has its own eligibility criteria. Click here to learn more.
- Free and Low-Cost Clinics: Free and low-cost clinics provide medical care to people who cannot afford to pay for private health insurance. There are many free and low-cost clinics in Wisconsin. Click here to find a clinic near you.
Cheers for sticking around till the end! I hope you found the answers you were looking for about Medicaid income limits in Wisconsin. If you have any other questions or concerns, don’t hesitate to reach out. I’m always here to help. In the meantime, keep an eye out for more informative articles like this one coming your way soon. Take care and I’ll catch you next time!